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HS REVIEW HARNETT COUNTY PLAN REVIEW APPLICATION SWIMMING POOLS Review for Compliance with NC Rules Governing the Public Swimming Pools (15A NCAC 18A.2500) All items are to be submitted through the Central Permitting Office at 108 East Front St., Lillington, NC 27546 or by mail at PO Box 65, Lillington, NC 27546. You may contact the Central Permitting Office at 910-893-7525, Ext. 2. However, please contact our office with questions regarding the contents of this application. If you have question, contact one of the following Food and Lodging staff listed below at 910- 893-7547: Gale Violette Greene, RS Jamie Turlington, RS Food and Lodging Program Specialist Environmental Health Specialist Cindy Pierce, RS Environmental Health Specialist Plans which are submitted for institutional establishments require plan review to assure compliance with the North Carolina Rules Governing Public Swimming Pools (15A NCAC 18A .2500), which is necessary to obtain an operations permit once construction is approved. A plan review fee of$300.00 must be paid when plans are submitted. Plans must be submitted with the following supporting documentation: X Plans must show pool,deck, fencing, and any other appurtenant building. X Plans must include drawing showing the placement of equipment in the facility, including any equipment rooms, chemical storage rooms, toilets and bathing facilities, dressing rooms,along with general plumbing, electrical, and mechanical and lighting details. X Piping schematic showing piping, pipe size, inlets, main drains, skimmers, gutter outlets, vacuum fittings and all other appurtenances connected to the pool piping system. X Specifications of all treatment equipment used and their layout in the equipment room, include equipment cut sheets. X Plans must include a site plan locating exterior equipment such as dumpsters or compactors, and indicating the proposed connections to approved sewer and water connections and backwash water disposal. X Plans shall be drawn to not less than one eight inch to the foot scale. gg 8/07 PUBLIC SWIMMING POOL DATA SHEET Name of Pool: Academy Swim Club Location: 174 Scholar Drive,Spring Lake NC 28390 Pool Contractor: Date of Clayton Britt and Sons, Inc Construction Fall 2017 1-Pool dimensions 6-Equipment Room Pool volume 57,234 gallons x Weatherproof Building Surface Area 1,750 square reel x Well Ventilated Bather Load 116 persons x Sanitary Sewer Floor Drain Ceiling Height: 7 ft 2-Pool Structure 7-Chemical St Area Fiberglass x Concrete x Dry x I Ventilated x Gunge x Rounded corners 8-Circulation Pump Other—Specify-) Make Pentair (a) Number of Main Drains 2 Model wFEe HP 1 Shp Size of grate 12"x 12" 9-Filter Anti-Vortex N/A Sand x I DE Cartridge Number of Returns/Inlets 16 Make Pentair In wall 6 In floor 10 Model IR100C(x2 Size of pipe 3",2", 1.5" Circulation Rate(GPM) 176 Number of skimmers 6 Backwash Rate(GPM) 176 Overflow gutters N/A Pressure Gauge x Number of Outlet Drains N/A Sight Glass x Hair and lint catcher yes Flow Meter x 3-Fill spout Air Relief Valve x Location Return LSIa *thee Room Pool Heater N/A Size of pipe 1.0' Turnover Rate Other method to fill N/A 10-Automatic Chemical Feed Back Flow Prevention RPZ Type Erosion Make Pentiar Source of Water Hamas County Model Number HC3330 4-Deck:Type 11-Bathhouse/Toilet Room Finish Concrete #toilets,female a Floor — Minimum width 12• ft #toilets,male 2 drain to Slope i4 nib,1?max #urinals 1 sewer-4 x Deck drains WA Diving Boards #lavatories 4 Non-skid x Hose Bib x Depth Markers #showers 2 flooring Number of ladders 2 12-Wastewater Disposal Number of stairways 2 Sewer to-4 cans. Outside rinse showers Pool overflow&backwash water to-4 courts 5-Safety Equipment Underground lights Deck lights N/A Ring Buoy w/rope x Floating life line x Shepherd's crook x Spa timer N/A Telephone x Form completed by: Mary Beth Haire, Sr. Project Coordinator,Clayton Britt and Sons, Inc 10/9/2017 Name Title Date: Circulation Pump#1 HARNETT COUNTY AOUATIC FACILITY REVIEW FORM FOR COMPLIANCE WITH THE VIRGINIA GRAEME BAKER POOL AM)SPA SAFETY ACT Complete one from for each pump. For example,circulation system,hydrojet,or water feature pump. Name of Pool/Spa: Acadmev Swim Club County: Harnett Pool/Spa Address: 174 Scholar Drive, Spring Lake NC 28390 Pool/Spa Owner: Anderson Creek Partners, LLC Owner's Phone: 910.454.4680 Owner's Address: 125 Whispering Pines Drive Spring Lake NC 28390 Owner's E-Mail: andybarr40©yahoo.com Owner's Fax: Pool/Spa Operator: TBD Operator's Phone: Operator's Certification: Operator's Address: Type of Facility X Pool _Spa _Wading Pool _Indoor Facility _Outdoor Facility Other Volume of Pool/Spa(gallons) 57,234 gallons Type of Suction Outlet and Maximum Flow Rate(check one) Pump Make and Model Number: Pentair Whisperfo WFE-6 ❑ Main Drain(s): -Maximum flow rate the system can attain with clean filter and all valves open(gpm) And Maximum flow rate with surface skimmer/gutter line valve(s)closed(gpm) OR -Specify estimated maximum flow rate for this system based on hydraulic calculations and pump curve (gpm) 176 ❑ Hydrojets,Maximum Flow Rate(gpm) ❑ Spray feature,describe Maximum Flow Rate(gpm) ❑ Slide,describe Maximum Flow Rate(gpm) ❑ Water Feature,describe Maximum Flow Rate(gpm) Location of Suction Outlets(check one) Wall X Floor Separate Planes Anti-entrapment device or system that complies with Virginia Graeme Baker Pool and Spa Safety Act X Dual drains spaced a minimum of 3 feet from edge to edge. Dual drains located on separate planes. _Single main drain with Safety vacuum Release System that complies with ASME/ANSI A112.19.17 or ASTM-F2387,provide documentation from manufacturer. SVRS Make and Model Gravity drainage system Dual Drain Single Drain Unblockable drain, minimum 18"x 23"size Dual Drain Single Drain Permanent drain disablement Dual Drain_Single Drain New Suction Outlets) Provide documentation that cover complies with ASME/ANSI Al 12.19.8-2007.For custom or large grating, attach verification of field testing by a Registered Design Professional in accordance with ASME/ANSI A112.19.8-2007. Make and Model Waterway 12"x 12" (640-472xV) Flow Rate:(gpm) 356 _Wall X Floor Separate Planes Size of Cover 12" x 12" Sump/Pot X New Installation or _Existing Sump/Pot Manufactured(check one) Make and Model Unknown make and model, Specify Dimensions : OR X Field fabricated,specify dimensions 12"diameter x 12" deep Meets the manufacturer's installation instruction for the cover specified above: x Yes No Clearance between the cover and the suction outlet pipe(inches) 6" Interior diameter of suction outlet pipe(inches) 4" Maximum anticipated flow rate through the grate(gpm) 88 New Equalizer Line Covers: Provide documentation that the cover complies with ASME/ANSI Al 12.19.8-2007. Make and Model N/A Flow Rate:(gpm) _Wall Floor Size of Cover OR Temporary Disablement of Equalizer Lines(all items required): All equalizer lines are disabled by plugging the equalizer suction line inside the skimmer pot; AND All equalizer lines are provided with a cover that is in good condition and cannot be removed without the use of tools. Form must be signed by the facility owner and a Pool Operator and Owner f hearby certify that the above-referenced swimming pool or spa complies with the Virginia Graeme Baker Pool and Spa Safety Act and the information is correct. Owner's Signature Print Name Title Date Operator's Signature Print Name Title Date Circulation Pump#2 HARNETT COUNTY AOUATIC FACILITY REVIEW FORM FOR COMPLIANCE WITH THE VIRGINIA GRAEME BAKER POOL AND SPA SAFETY ACT Complete one from for each pump. For example,circulation system,hydrojet,or water feature pump. Name of Pool/Spa: Acadmey Swim Club County: Harnett Pool/Spa Address: 174 Scholar Drive, Spring Lake NC 28390 Pool/Spa Owner: Anderson Creek Partners, LLC Owner's Phone: 910.454.4680 Owner's Address: 125 Whispering Pines Drive Spring Lake NC 28390 Owner's E-Mail: andybarr40@yahoo.com Owner's Fax: Pool/Spa Operator: TBD Operator's Phone: Operator's Certification: Operator's Address: Type of Facility x Pool _Spa Wading Pool _Indoor Facility Outdoor Facility Other Volume of Pool/Spa(gallons) 57,234 gallons Type of Suction Outlet and Maximum Flow Rate(check one) Pump Make and Model Number: Pentair Whisperflo WFE-6 ❑ Main Drain(s): -Maximum flow rate the system can attain with clean filter and all valves open(gpm) And Maximum flow rate with surface skimmer/gutter line valve(s)closed(gpm) OR -Specify estimated maximum flow rate for this system based on hydraulic calculations and pump curve (gpm) 176 ❑ Hydrojets, Maximum Flow Rate(gpm) ❑ Spray feature,describe Maximum Flow Rate(gpm) ❑ Slide,describe Maximum Flow Rate(gpm) ❑ Water Feature,describe Maximum Flow Rate(gpm) Location of Suction Outlets(check one) Wall X Floor _Separate Planes Anti-entrapment device or system that complies with Virginia Graeme Baker Pool and Spa Safety Act x Dual drains spaced a minimum of 3 feet from edge to edge. Dual drains located on separate planes. Single main drain with Safety vacuum Release System that complies with ASME/ANSI A 112.19.17 or ASTM-F2387,provide documentation from manufacturer. SVRS Make and Model Gravity drainage system Dual Drain Single Drain Unblockable drain,minimum 18" x 23" size Dual Drain Single Drain Permanent drain disablement Dual Drain Single Drain New Suction Outlet(s) Provide documentation that cover complies with ASME/ANSI A112.19.8-2007.For custom or large grating,attach verification of field testing by a Registered Design Professional in accordance with ASME/ANSI A112.19.8-2007. Make and Model Waterway 12"x 12" (640-472xV) Flow Rate:(gpm) 356 Wall X Floor _Separate Planes Size of Cover 12"x 12" Sump/Pot X New Installation or _Existing Sump/Pot Manufactured(check one) Make and Model Unknown make and model, Specify Dimensions : OR X Field fabricated,specify dimensions 12"diameter x 12"deep Meets the manufacturer's installation instruction for the cover specified above: x Yes No Clearance between the cover and the suction outlet pipe(inches) 6" Interior diameter of suction outlet pipe(inches) 4" Maximum anticipated flow rate through the grate(gpm) 88 New Equalizer Line Covers: Provide documentation that the cover complies with ASME/ANSI A112.19.8-2007. Make and Model N/A Flow Rate:(gpm) _Wall Floor Size of Cover OR Temporary Disablement of Equalizer Lines(a8 items required): All equalizer lines are disabled by plugging the equalizer suction line inside the skimmer pot; AND All equalizer lines are provided with a cover that is in good condition and cannot be removed without the use of tools. Form must be signed by the facility owner and a Pool Operator and Owner I hearby certify that the above-referenced swimming pool or spa complies with the Virginia Graeme Baker Pool and Spa Safety Act and the information is correct. Owner's Signature Print Name Title Date Operator's Signature Print Name Title Date Appointment of Lien Agent: Details-LiensNC Lien Service https://apps.liensnc.cam/scr/appointment/details.html?entryN umber—... DO NOT REMOVE! Details: Appointment of Lien Agent Filed an: 10/05/2017 Entry N: 733865 Initially flied by: falrweyi Designated Lien Agent Project Property Print 8 Post First American Title Insurance Company Academy Swim Club,Phase 7,Anderson Creek 0�e _ O Club Online:www lienmc comnn... .•l 174 Scholar Drive i'S$i'1 Address:19 W Hwgcu Sc,Suite 501 Raleigh,NC Spring Lake,NC 28390 nl'C!o 11601 Hamen County Contractors: Phone:888.690-7384 Please post this notice on the Job Site. Fn:91J-4895231 Property Type Suppliers and Subcontractors: Email;supnonlnnienmc conn-,._,....-ve. Scan this image with your smart phone to view this filing.You can then file a Notice to Lien Agent for this project. Other Owner Information Date of First Furnishing ANDERSON CREEK PARTNERS,LP 125 Whispering Pines Dr Spring Lake, NC 28390 10/09R017 United States Email:cooper@andersoncreekclub.com Phone:910-814-8651 View Comments(0) Technical Support Hotline:(888)690-7384 I of 1 10/5/2017,3:09 PM P.O. Box 29, Fayetteville, NC 28302-0029 (Mailing & Billing) 5 a and 3703 Bragg Boulevard, Fayetteville, NC 28303-3848 (Shipping) Pool World (910) 868-8319 phone (800) 214-4658 toll free by Clayton Britt&Sons 19101 868-1487 fax October 9, 2017 Central Permitting Harnett County Attn: Ms. Cindy Pierce Harnett County Health Department 108 E. Front Street Lillington, NC 27546 Dear Ms. Pierce, Please find enclosed the following items for the Academy Swim Club Pool Plan Review: For Environmental Health: One (1) Equipment Specifications Booklet One (1) copy Public Swimming Pool Data Sheet Two (2) sets of sealed pool plans Two (2) VGB compliant sheet (1) for each pump One (1) Lien Agent One (1) check in the amount of$300.00 for review fee For Permitting: One (1) Harnett County Application for Building Trades Permit Four (4) sets of sealed pool plans One (1) copy Public Swimming Pool Data Sheet Two (2) VGB compliant sheet (1) for each pump One (1) Lien Agent If you need further documentation or have any questions, please give me a call or email me. Thank you so much for your time, assistance, patience and understanding with this request. Best Regards, C Gx Christine Cox Project Coordinator (910) 868-8319 Office (910) 868-1487 Fax c coxa spa a n d p o olworld.c o m PUBLIC SWIMMING POOL DATA SHEET Name of Pool: Academy Swim Club Location: 174 Scholar Drive,Sprang Lake NC 28390 Pool Contractor: Date of Clayton Britt and Sons, Inc Construction Fall 2017 i4kooldimensions , - Pool volume 57,234 gallons x Weatherproof Building Surface Area 1,750 square feet x Well Ventilated Bather Load 116 persona x Sanitary Sewer Floor Drain Ceiling Hei ht: 7 ..1 ft 2-Pool Sduawn 7-C " iini Fiberglass z Concrete x D I x I Ventilated x Gunite x Rounded corners Other---Specify-) Make Pentair (x2) Number of Main Drains 2 �. M1J Model�..�' WFEa HP 1.5hp Size of grate 12" ^ x12" I :,<, Anti-Vortex N/A Sand x DE I Cartridge Number of Returns/Inlets 16 Make Pentair In wall 6 In floor 10 Model TR100C(x2) Size of pipe 3",2", 1.5" Circulation Rate(GPM) 17 Number of skimmers 6 Backwash Rate(GPM) 17 Overflow gutters N/A Pressure Gauge Number of Outlet Drains N/A Sight Glass Hair and lint catcher yes Flow Meter 3Py tlpaYl _ . Air Relief Valve Location Rmum Lin/Eawomam Rao„ Pool Heater N/A Size of pipe t0• _Turnover Rate Other method to fill N/A Back Flow Prevention RPZ Type Erosion Make Pentar Source of Water Harnett County Model Number HC-3330 A�olc IYIM 1 ' Finish Concrete #toilets,female 3 Floor Minimum width 12' ft #toilets, male 2 drain to Slope 1/4r mi yr max #urinals i sewer--) x Deck drains N/A Diving Boards #lavatories 4 Non-skid x Hose Bib x Depth Markers #showers 2 flooring Number of ladders 2 12•YttulJillinkiii , Number of stairways 2 Sewer to--) catty Outside rinse showers Pool overflow&backwash water to--) Cow* i-BdMYE4gi#MM': Underground lights Deck lights N/A . Ring Buoy w/rope x _ Floating life line x Shepherds crook Spa timer N/A Telephone x Fonn completed by. Mary Beth Haire, Sr. Project Coordinator, Clayton Britt and Sons, Inc 10/9/2017 Name Title Date Circulation Pump#1 HARNETT COUNTY AOUATIC FACILITY REVIEW FORM FOR COMPLIANCE WITH THE VIRGINIA GRAEME BAKER POOL AND SPA SAFETY ACT Complete one from for each pump. For example, circulation system,hydrojet,or water feature pump. Name of PooVSpa: Acadmev Swim Club County: Harnett Pool/Spa Address: 174 Scholar Drive, Spring Lake NC 28390 Pool/Spa Owner: Anderson Creek Partners, LLC Owner's Phone: 910.454.4680 Owner's Address: 125 Whispering Pines Drive Spring Lake NC 28390 Owner's E-Mail: andybarr40@yahoo.com Owner's Fax: Pool/Spa Operator: TBD Operator's Phone: Operator's Certification: Operator's Address: Type of Facility x Pool _Spa Wading Pool _Indoor Facility Outdoor Facility Other Volume of Pool/Spa(gallons) 57,234 gallons Type of Suction Outlet and Maximum Flow Rate(check one) Pump Make and Model Number: Pentair Whisperflo WFE-6 ❑ Main Drain(s): -Maximum flow rate the system can attain with clean filter and all valves open(gpm) And Maximum flow rate with surface skimmer/gutter line valve(s)closed(gpm) OR -Specify estimated maximum flow rate for this system based on hydraulic calculations and pump curve (gpm) 176 ❑ Hydrojets, Maximum Flow Rate(gpm) ❑ Spray feature,describe Maximum Flow Rate(gpm) ❑ Slide,describe Maximum Flow Rate(gpm) ❑ Water Feature, describe Maximum Flow Rate(gpm) Location of Suction Outlets(check one) Wall X Floor Separate Planes Anti-entrapment device or system that complies with Virginia Graeme Baker Pool and Spa Safety Act x Dual drains spaced a minimum of 3 feet from edge to edge. Dual drains located on separate planes. Single main drain with Safety vacuum Release System that complies with ASME/ANSI Al 12.19.17 or ASTM-F23 87,provide documentation from manufacturer. SVRS Make and Model Gravity drainage system Dual Drain Single Drain Unblockable drain, minimum 18"x 23" size Dual Drain Single Drain Permanent drain disablement Dual Drain Single Drain New Suction Outlet(s) Provide documentation that cover complies with ASME/ANSI Al 12.19.8-2007. For custom or large grating,attach verification of field testing by a Registered Design Professional in accordance with ASME/ANSI Al 12.19.8-2007. Make and Model Waterway 12"x 12" (640-472xV) Flow Rate: (gpm) 356 Wall X Floor Separate Planes Size of Cover 12" x12" Sump/Pot X New Installation or _Existing Sump/Pot _Manufactured(check one) Make and Model Unknown make and model, Specify Dimensions : OR X Field fabricated,specify dimensions 12" diameter x 12" deep Meets the manufacturer's installation instruction for the cover specified above: x Yes _No Clearance between the cover and the suction outlet pipe(inches) 6" Interior diameter of suction outlet pipe(inches) 4" Maximum anticipated flow rate through the grate(gpm) 88 New Equalizer Line Covers: Provide documentation that the cover complies with ASME/ANSI Al 12.19.8-2007. Make and Model N/A Flow Rate:(gpm) Wall Floor Size of Cover OR Temporary Disablement of Equalizer Lines(all items required): All equalizer lines are disabled by plugging the equalizer suction line inside the skimmer pot; AND All equalizer lines are provided with a cover that is in good condition and cannot be removed without the use of tools. Form must be signed by the facility owner and a Pool Operator and Owner I hearby certify that the above-referenced swimming pool or spa complies with the Virginia Graeme Baker Pool and Spa Safety Act and the information is correct. Owner's Signature Print Name Title Date Operator's Signature Print Name Title Date Circulation Pump#2 HARNETT COUNTY AOUATIC FACILITY REVIEW FORM FOR COMPLIANCE WITH THE VIRGINIA GRAEME BAKER POOL AND SPA SAFETY ACT Complete one from for each pump. For example,circulation system,hydrojet, or water feature pump. Name of Pool/Spa: Acadmev Swim Club County: Harnett Pool/Spa Address: 174 Scholar Drive, Spring Lake NC 28390 Pool/Spa Owner: Anderson Creek Partners, LLC Owner's Phone: 910.454.4680 Owner's Address: 125 Whispering Pines Drive Spring Lake NC 28390 Owner's E-Mail: andybam40@yahoo.com Owner's Fax: Pool/Spa Operator: TBD Operator's Phone: Operator's Certification: Operator's Address: Type of Facility x Pool Spa _Wading Pool _Indoor Facility Outdoor Facility Other Volume of Pool/Spa(gallons) 57,234 gallons Type of Suction Outlet and Maximum Flow Rate(check one) Pump Make and Model Number: Pentair Whisperfl0 WEE-6 ❑ Main Drain(s): -Maximum flow rate the system can attain with clean filter and all valves open(gpm) And Maximum flow rate with surface skimmer/gutter line valve(s)closed(gpm) OR -Specify estimated maximum flow rate for this system based on hydraulic calculations and pump curve (gpm) 176 ❑ Hydrojets, Maximum Flow Rate(gpm) ❑ Spray feature,describe Maximum Flow Rate(gpm) ❑ Slide,describe Maximum Flow Rate(gpm) ❑ Water Feature, describe Maximum Flow Rate(gpm) Location of Suction Outlets(check one) _Wall X Floor Separate Planes Anti-entrapment device or system that complies with Virginia Graeme Baker Pool and Spa Safety Act x Dual drains spaced a minimum of 3 feet from edge to edge. Dual drains located on separate planes. _Single main drain with Safety vacuum Release System that complies with ASME/ANSI A112.19.17 or ASTM-F2387, provide documentation from manufacturer. SVRS Make and Model Gravity drainage system Dual Drain Single Drain Unblockable drain, minimum 18"x 23" size Dual Drain Single Drain Permanent drain disablement Dual Drain Single Drain New Suction Outlet(s) Provide documentation that cover complies with ASME/ANSI A112.19.8-2007. For custom or large grating,attach verification of field testing by a Registered Design Professional in accordance with ASME/ANSI A112.19.8-2007. Make and Model Waterway 12"x 12" (640-472xV) Flow Rate:(gpm) 356 _Wall X Floor Separate Planes Size of Cover 12"x 12" Sump/Pot X New Installation or _Existing Sump/Pot _Manufactured(check one) Make and Model Unknown make and model, Specify Dimensions : OR X Field fabricated, specify dimensions 12"diameter x 12"deep Meets the manufacturer's installation instruction for the cover specified above: x Yes _No Clearance between the cover and the suction outlet pipe(inches) 6" Interior diameter of suction outlet pipe(inches) 4" Maximum anticipated flow rate through the grate(gpm) 88 New Equalizer Line Covers: Provide documentation that the cover complies with ASME/ANSI A112.19.8-2007. Make and Model N/A Flow Rate:(gpm) Wall Floor Size of Cover OR Temporary Disablement of Equalizer Lines(all items required): All equalizer lines are disabled by plugging the equalizer suction line inside the skimmer pot; AND All equalizer lines are provided with a cover that is in good condition and cannot be removed without the use of tools. Form must be signed by the facility owner and a Pool Operator and Owner I hearby certify that the above-referenced swimming pool or spa complies with the Virginia Graeme Baker Pool and Spa Safety Act and the information is correct. Owner's Signature Print Name Title Date Operator's Signature Print Name Title Date